Organization
ALEXANDRA STRACK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXANDRA PAIGE LIBON STRACK PMHNP (OWNER)
(781) 773-8770
Entity
Organization
Contact information
Practice address
29 COMMONWEALTH AVE, SUITE 906, BOSTON, MA 02116-2349
(781) 773-8770
Mailing address
17 CAZENOVE ST, 404, BOSTON, MA 02116-6234
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
RN22722000
MA
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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